Safety climate and medical errors in 62 US emergency departments

Annals of Emergency Medicine

Volumn 60, Issue 5, 2012, Pages

  Camargo, Carlos A ^a   Tsai, Chu Lin ^a   Sullivan, Ashley F ^a   Cleary, Paul D ^b   Gordon, James A ^a   Guadagnoli, Edward ^a   Kaushal, Rainu ^c   Magid, David J ^d   Rao, Sowmya R ^a   Blumenthal, David ^a,e  

^a HARVARD MEDICAL SCHOOL   (United States)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c NEW YORK PRESBYTERIAN HOSPITAL   (United States)

^d UNIVERSITY OF COLORADO   (United States)

^e U S DEPARTMENT OF HEALTH AND HUMAN SERVICES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADVERSE OUTCOME; ARTICLE; ASTHMA; DISEASE EXACERBATION; EMERGENCY CARE; HEALTH SURVEY; HEART INFARCTION; HUMAN; INCIDENCE; JOINT DISLOCATION; MAJOR CLINICAL STUDY; MEDICAL ERROR; MEDICAL RECORD REVIEW; PRIORITY JOURNAL;

EID: 84868099735     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2012.02.018     Document Type: Article

References (51)

1. L.T. Kohn, J. Corrigan, M.S. Donaldson Institute of Medicine; Committee on Quality of Health Care in America To Err Is Human: Building a Safer Health System 2000 National Academy Press Washington, DC
2. T.A. Brennan, L.L. Leape, N.M. Laird Incidence of adverse events and negligence in hospitalized patients Results of the Harvard Medical Practice Study I N Engl J Med 324 1991 370 376
3. L.L. Leape, T.A. Brennan, N. Laird The nature of adverse events in hospitalized patients Results of the Harvard Medical Practice Study II N Engl J Med 324 1991 377 384
4. E.J. Thomas, D.M. Studdert, H.R. Burstin Incidence and types of adverse events and negligent care in Utah and Colorado Med Care 38 2000 261 271
5. T.K. Gandhi, S.N. Weingart, J. Borus Adverse drug events in ambulatory care N Engl J Med 348 2003 1556 1564 (Pubitemid 36437933)
6. J.M. Rothschild, C.P. Landrigan, J.W. Cronin The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care Crit Care Med 33 2005 1694 1700 (Pubitemid 41153692)
7. J.H. Gurwitz, T.S. Field, J. Avorn Incidence and preventability of adverse drug events in nursing homes Am J Med 109 2000 87 94
8. Institute of Medicine; Committee on the Future of Emergency Care in the US Health System The Future of Emergency Care in the United States Health System 2006 National Academy Press Washington, DC
9. J.W. Hafner Jr, S.M. Belknap, M.D. Squillante Adverse drug events in emergency department patients Ann Emerg Med 39 2002 258 267 (Pubitemid 34219639)
10. J. Fordyce, F.S. Blank, P. Pekow Errors in a busy emergency department Ann Emerg Med 42 2003 324 333 (Pubitemid 37052007)
11. K.K. Hall, S.M. Schenkel, J.M. Hirshon Incidence and types of non-ideal care events in an emergency department Qual Saf Health Care 19 suppl 3 2010 i20 i25
12. L.L. Leape, D.M. Berwick Five years after To Err Is Human: what have we learned? JAMA 293 2005 2384 2390 (Pubitemid 40676761)
13. J.B. Colla, A.C. Bracken, L.M. Kinney Measuring patient safety climate: a review of surveys Qual Saf Health Care 14 2005 364 366 (Pubitemid 41495124)
14. A.F. Sullivan, C.A. Camargo Jr, P.D. Cleary The National Emergency Department Safety Study: study rationale and design Acad Emerg Med 14 2007 1182 1189 (Pubitemid 350141642)
15. D.J. Magid, A.F. Sullivan, P.D. Cleary The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments Ann Emerg Med 53 2009 715 723.e1
16. National Asthma Education and Prevention Program Expert Panel Report 3 (EPR-3): guidelines for the diagnosis and management of asthma - summary report 2007 J Allergy Clin Immunol 120 5 Suppl 2007 S94 S138 http://www.nhlbi.nih.gov/ guidelines/asthma/asthgdln.htm Accessed April 9, 2011
17. S.A. Godwin, D.A. Caro, S.J. Wolf Clinical policy: procedural sedation and analgesia in the emergency department Ann Emerg Med 45 2005 177 196
18. E.M. Antman, D.T. Anbe, P.W. Armstrong ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction - executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction) Circulation 110 2004 588 636 (Pubitemid 39036178)
19. C.L. Tsai, D.J. Magid, A.F. Sullivan Quality of care for acute myocardial infarction in 58 US emergency departments Acad Emerg Med 17 2010 940 950
20. C.L. Tsai, A.F. Sullivan, J.A. Gordon Quality of care for acute asthma in 63 US emergency departments J Allergy Clin Immunol 123 2009 354 361
21. Department of Health and Human Services The International Classification of Diseases, Ninth Revision, Clinical Modification: ICD-9-CM Vol 1 5th ed. 1994 Government Printing Office Washington, DC
22. E.J. Thomas, D.M. Studdert, J.P. Newhouse Costs of medical injuries in Utah and Colorado Inquiry 36 1999 255 264
23. D.W. Bates, D.J. Cullen, N. Laird Incidence of adverse drug events and potential adverse drug events Implications for prevention. ADE Prevention Study Group JAMA 274 1995 29 34
24. R. Kaushal, D.W. Bates, C. Landrigan Medication errors and adverse drug events in pediatric inpatients JAMA 285 2001 2114 2120 (Pubitemid 32367829)
25. D.G. Altman Practical Statistics for Medical Research 1991 Chapman & Hall London, England
26. J. Reason Human error: models and management BMJ 320 2000 768 770 (Pubitemid 30179429)
27. J.T. Reason Human Error 1990 Cambridge University Press Cambridge, England
28. United States Census Bureau Census regions and divisions of the United States http://www.census.gov/geo/www/us-regdiv.pdf Accessed April 9, 2011
29. K.Y. Liang, S.L. Zeger Longitudinal data analysis using generalized linear models Biometrika 73 1986 13 22
30. C.L. Tsai, C.A. Camargo Jr Methodological considerations, such as directed acyclic graphs, for studying "acute on chronic" disease epidemiology: chronic obstructive pulmonary disease example J Clin Epidemiol 62 2009 982 990
31. H.M. Krumholz, Y. Wang, J.A. Mattera An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with an acute myocardial infarction Circulation 113 2006 1683 1692
32. C.L. Tsai, S. Clark, A.F. Sullivan Development and validation of a risk-adjustment tool in acute asthma Health Serv Res 44 2009 1701 1717
33. S. Greenland Modeling and variable selection in epidemiologic analysis Am J Public Health 79 1989 340 349 (Pubitemid 19077878)
34. S. Greenland Dose-response and trend analysis in epidemiology: alternatives to categorical analysis Epidemiology 6 1995 356 365
35. P.C. Austin, V. Goel, C. van Walraven An introduction to multilevel regression models Can J Public Health 92 2001 150 154 (Pubitemid 32440329)
36. A.A. Afifi, J.B. Kotlerman, S.L. Ettner Methods for improving regression analysis for skewed continuous or counted responses Annu Rev Public Health 28 2007 95 111 (Pubitemid 46833335)
37. R.A. Caplan, K.L. Posner, F.W. Cheney Effect of outcome on physician judgments of appropriateness of care JAMA 265 1991 1957 1960
38. M. Gupta, D.L. Schriger, J.A. Tabas The presence of outcome bias in emergency physician retrospective judgments of the quality of care Ann Emerg Med 57 2011 323 328.e9
39. R. Niska, F. Bhuiya, J. Xu National Hospital Ambulatory Medical Care Survey: 2007 emergency department summary National Health Statistics Reports 2010 National Center for Health Statistics Hyattsville, MD No. 26 http://www.cdc.gov/nchs/data/nhsr/nhsr026.pdf Accessed August 28, 2012
40. D.L. Streiner, G.R. Norman Health Measurement Scales: A Practical Guide to Their Development and Use 3rd ed. 2003 Oxford University Press New York, NY
41. A. Neal, M.A. Griffin A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels J Appl Psychol 91 2006 946 953 (Pubitemid 44128216)
42. T.J. Vogus, K.M. Sutcliffe The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units Med Care 45 2007 997 1002
43. S.N. Weingart, K. Farbstein, R.B. Davis Using a multihospital survey to examine the safety culture Jt Comm J Qual Saf 30 2004 125 132
44. S. Singer, S. Lin, A. Falwell Relationship of safety climate and safety performance in hospitals Health Serv Res 44 2009 399 421
45. J.S. Weissman, J.M. Rothschild, E. Bendavid Hospital workload and adverse events Med Care 45 2007 448 455
46. S.W. Liu, S.H. Thomas, J.A. Gordon A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds Ann Emerg Med 54 2009 381 385
47. S.P. Clarke Nurse staffing in acute care settings: research perspectives and practice implications Jt Comm J Qual Patient Saf 33 2007 30 44
48. P.J. Pronovost, B. Weast, K. Bishop Senior executive adopt-a-work unit: a model for safety improvement Jt Comm J Qual Saf 30 2004 59 68
49. T. Isaac, A.K. Jha Are patient safety indicators related to widely used measures of hospital quality? J Gen Intern Med 23 2008 1373 1378
50. M.R. Miller, P. Pronovost, M. Donithan Relationship between performance measurement and accreditation: implications for quality of care and patient safety Am J Med Qual 20 2005 239 252 (Pubitemid 41622178)
51. Institute of Medicine Committee on Quality of Health Care in America Crossing the Quality Chasm: A New Health System for the 21st Century 2001 National Academy Press Washington, DC